ASCENSION ST JOSEPH HOSPITAL (NPI# 1235219965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235219965 |
| Entity Type | Organization |
| Organization Name | ASCENSION ST JOSEPH HOSPITAL |
| Other Organization Name | ASCENSION ST JOSEPH HOSPITAL WOMEN'S CLINIC B |
| Practice Address |
25 E M 55 Tawas City MI 48763-9362 |
| Mailing Address |
Po Box 779 Tawas City MI 48764-0779 |
| Practice Telephone | 9893622540 |
| Practice Fax Number | 9893627290 |
| Mailing Telephone | 9893622540 |
| Mailing Fax Number | 9893627290 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-03 |
| Authorized Official Name | CHARITY HIGGINS (DIR-MEDICAL PRACTICES) |
| Authorized Official Telephone | 9893629304 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PART B GROUP PIN | 0C56025 | 01 | |
| MI | BCBS - OB/GYN | 160C56025 | 01 |
| Other Name | Type Code |
|---|---|
| Ascension St Joseph Hospital Women's Clinic B | Other Name - Individual/Organization |
| St Joseph Health System Womens Part B | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326036153 | Ascension St Joseph Hospital | Clinic/Center | 3210 E Huron Rd, Au Gres, MI 48703-9322 | 2005-10-06 |
| 1730177528 | Ascension St Joseph Hospital | Clinic/Center | 3190 Northridge Rd, Hale, MI 48739-9276 | 2005-10-06 |
| 1649555004 | Ascension St Joseph Hospital | Family Medicine | 325 E M 55, Suite B, Tawas City, MI 48763-8211 | 2011-10-18 |
| 1477716165 | Ascension St Joseph Hospital | Clinic/Center | 110 Beech St Ste A, Tawas City, MI 48763-8314 | 2008-07-03 |
| 1437233426 | Ascension St Joseph Hospital | Family Medicine | 200 Hemlock, Tawas City, MI 48763 | 2006-10-25 |
| 1255416897 | Ascension St Joseph Hospital | Emergency Medicine | 200 Hemlock, Tawas City, MI 48763 | 2006-10-25 |
| 1235213257 | Ascension St Joseph Hospital | Medicare Defined Swing Bed Unit | 200 Hemlock, Tawas City, MI 48763 | 2006-10-25 |
| 1003996679 | Ascension St Joseph Hospital | Pediatrics | 200 Hemlock, Tawas City, MI 48763 | 2006-10-17 |
| 1467532119 | Ascension St Joseph Hospital | Anesthesiology | 200 Hemlock, Tawas City, MI 48763 | 2006-10-17 |
| 1194713461 | Ascension St Joseph Hospital | General Acute Care Hospital | 200 Hemlock St, Tawas City, MI 48763-9237 | 2005-10-11 |
| Street Address |
25 E M 55 |
| City | TAWAS CITY |
| State | MI |
| Zip Code | 48763-9362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316082050 | Christopher J Oravitz | Obstetrics & Gynecology | 25 E M 55, Tawas City, MI 48763-9362 | 2007-02-20 |
| 1174603716 | Christopher Russell Landrey | Obstetrics & Gynecology | 25 E M 55, Tawas City, MI 48763-9362 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720447006 | Josie Short | Student in an Organized Health Care Education/Training Program | 127 Wheeler Street, Tawas, MI 48763 | 2016-02-16 |
| 1689052698 | Victoria Mcgillis | Nurse Practitioner | 325 E M 55 Ste B, Tawas City, MI 48763 | 2015-05-11 |
| 1942500160 | Jeffrey M Chadwick O D P C | Optometrist | 325 M-55, Tawas City, MI 48763 | 2010-10-22 |
| 1659536068 | Josip Petani | Pediatrics | 101 W. Lake St, Tawas City, MI 48763 | 2008-07-24 |
| 1790963312 | Phillip A Wienczewski Pllc | Dentist | 671 E M 55, Tawas City, MI 48763 | 2008-02-06 |
| 1902090038 | Life Family Chiropractic LLC | Chiropractor | 196 M 55, Life Family Chiropractic, Tawas City, MI 48763 | 2007-08-31 |
| 1467586446 | Thomas Aldrich Dawson | Dentist | 508 Hemlock Avenue, Tawas City, MI 48763 | 2007-03-14 |
| 1497819056 | Phillip Allen Wienczewski | Dentist | 671 E M55, Tawas City, MI 48763 | 2006-12-20 |
| 1821163106 | Charles Edward Kudwa | Dentist | 510 West Lake St, Tawas City, MI 48763 | 2006-11-21 |
| 1720017312 | Jeffrey Michael Chadwick | Optometrist | 325 M-55 East, Tawas City, MI 48763 | 2006-07-03 |
| Find all providers in zip 48763 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821086661 | Earl F Elowsky | Obstetrics & Gynecology | 25 M 55 E, Tawas City, MI 48763-9362 | 2005-10-06 |
| 1316082050 | Christopher J Oravitz | Obstetrics & Gynecology | 25 E M 55, Tawas City, MI 48763-9362 | 2007-02-20 |
| 1174603716 | Christopher Russell Landrey | Obstetrics & Gynecology | 25 E M 55, Tawas City, MI 48763-9362 | 2006-10-17 |
| 1861480600 | Judy E Herbolsheimer | Obstetrics & Gynecology | 25 M 55 E, Tawas City, MI 48763-9362 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900096 | Youssef Derbala | Obstetrics & Gynecology | 15050 E Jefferson Ave Ste 102, Grosse Pointe Park, MI 48230-2050 | 2020-07-23 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1740808799 | Beyond Womens Care PC | Obstetrics & Gynecology | 455 S Livernois Rd Ste A12, Rochester Hills, MI 48307-2579 | 2020-07-07 |
| 1760009070 | Pamila Diwan, Md | Obstetrics & Gynecology | 30555 Southfield Rd Ste 180, Southfield, MI 48076-7700 | 2020-07-02 |
| 1972120962 | Tara Elizabeth Bjorklund | Obstetrics & Gynecology | 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 | 2020-06-25 |
| 1194341198 | Kelcy L Welch | Obstetrics & Gynecology | 30445 Northwestern Hwy Ste 140, Farmington Hills, MI 48334-3174 | 2020-06-25 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1780208272 | Whitney Nicole Buck | Obstetrics & Gynecology | 16001 W 9 Mile Rd Bldg Ste 401, Southfield, MI 48075-4818 | 2020-06-01 |
| 1245854652 | Rachel Shamoun | Obstetrics & Gynecology | 16001 W 9 Mile Rd Bldg Suite401, Southfield, MI 48075-4818 | 2020-06-01 |
| 1841811171 | Advanced Healthcare Associates, Pllc | Obstetrics & Gynecology | 25050 Outer Dr Ste 102, Lincoln Park, MI 48146-1293 | 2020-04-27 |
| Find all providers with the same taxonomy | ||||
| City | TAWAS CITY |
| Zip Code | 48763 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.